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作 者:费志成 王雅玲 丁洪瑞 彭锐 刘腾飞 钱晨[1] FEI Zhicheng;WANG Yaling;DING Hongrui;PENG Rui;LIU Tengfei;QIAN Chen(Operating Room,Jiangsu Cancer Hospital/Jiangsu Institute of Cancer Research/the Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210008,China)
机构地区:[1]江苏省肿瘤医院·江苏省肿瘤防治研究所·南京医科大学附属肿瘤医院手术室,江苏南京210008
出 处:《机器人外科学杂志(中英文)》2025年第3期455-459,共5页Chinese Journal of Robotic Surgery
基 金:国家自然科学基金青年科学基金(82203226);江苏省肿瘤医院院级课题(ZH202216)。
摘 要:目的:探讨床旁机械臂沿手术床纵轴头侧锐角泊位在达芬奇机器人辅助手术中的应用效果。方法:选取2022年1月—2024年1月在江苏省肿瘤医院行达芬奇机器人辅助手术治疗的患者132例,将患者随机分为观察组(n=66)和对照组(n=66),其中对照组给予常规床旁机械臂沿手术床侧边入路泊位,观察组给予床旁机械臂沿手术床纵轴头侧锐角泊位。比较两组的围手术期指标、护士空间管理能力评分、医师满意度评分。结果:观察组术前准备时间和手术时间短于对照组(P<0.05),护士空间管理能力评分和医师满意度评分高于对照组(P<0.05)。结论:床旁机械臂沿手术床纵轴头侧锐角泊位在达芬奇辅助机器人手术中有较好的应用价值,能够在不影响手术效果的前提下,显著提升手术室的空间效率和手术团队的工作满意度。Objective:To evaluate the clinical efficacy of sharp-angle headside docking along the longitudinal axis of the operating table for bedside robotic arms in Da Vinci robot-assisted surgeries.Methods:A total of 132 patients who underwent Da Vinci robot-assisted surgery at Jiangsu Provincial Cancer Hospital from January 2022 to January 2024 were enrolled.They were randomly divided into the observation group(n=66)and the control group(n=66).The control group received conventional bedside robotic arm docking via the lateral side of the operating table,while the observation group adopted sharp-angle headside docking along the longitudinal axis.Perioperative parameters,nurses’spatial management competency scores,and surgeons’satisfaction scores were compared between the two groups.Results:The observation group took shorter preoperative preparation time and operative time than the control group(P<0.05),along with higher nurses’spatial management scores and surgeons’satisfaction scores(P<0.05).Conclusion:Sharp-angle headside docking of bedside robotic arms along the longitudinal axis can significantly enhance intraoperative spatial efficiency and team satisfaction in Da Vinci robot-assisted surgeries without compromising surgical outcomes,which is clinically applicable.
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